Takara Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

TAKARA HOSPICE LLC

Practice address

333 S Juniper St Ste 103
Escondido, CA 92025-4924

Phone

(951) 234-1007

NPI assigned

Feb 6, 2021

Last updated

Nov 17, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jason Paul Bliss

Title

Member

Phone

(408) 781-2023

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1497347967. Details of each certification follow.

• CCN B41568 Hospice · Active · Details

Hospice certification: CCN B41568

Legal name

TAKARA HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jun 3, 2022

Last certification

Jun 3, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Jan 6, 2021 in CA

Enrollment address

333 S Juniper St
Ste 103
Escondido, CA 92025-4924

Listed as

Takara Hospice LLCCCN B41568 · All quality measures

Certified

Jun 3, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Soleil Hospice LLC

  • Community Based Hospice Care Agency
  • San Jose, CA
  • NPI 1124610696

  Liahona Holdco LLC

  CMS ownership
• Valley View Hospice & Palliative Care LLC

  • Community Based Hospice Care Agency
  • Chico, CA
  • NPI 1619557667

  Liahona Holdco LLC, Vistariver

  CMS ownership
• Belle Vie Hospice LLC

  • Community Based Hospice Care Agency
  • American Fork, UT
  • NPI 1720665433

  Liahona Holdco LLC

  CMS ownership
• Heritage Hospice LLC

  dba VistaRiver Hospice

  • Community Based Hospice Care Agency
  • Wilsonville, OR
  • NPI 1487257424

  Liahona Holdco LLC

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Stephen Poses, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Carlsbad, CA
  • NPI 1467461418

  Hospice

  Care Compare affiliation
• Elizabeth Sophy

  • Family Medicine Physician
  • San Diego, CA
  • NPI 1013441203

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1497347967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S JUNIPER ST STE 103",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254924",
            "telephone_number": "951-234-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S JUNIPER ST STE 103",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254924",
            "telephone_number": "951-234-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKARA HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-06",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "BLISS",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "408-781-2023"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sepehr Nassir Tafreshi
• David Lee Tagge, D.D.S., M.S.D.
• Kristine Tagwerker, CRNA
• Mikaela Ann Taheri, MOTR/L
• Tahir R Paul Dental Corp (Kidz Care Dental Group)
• Tam T Le OD Inc
• Elaine June Tan, M.D.
• Tania Faruque M.D. P.C.
• Allyssa-Jhisel Tanjuaquio, M.S. CF-SLP
• Pamela Ann Tanksley, SUDR

• Community Based Hospice Care Agency in Escondido, CA
• Providers in Escondido, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.